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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY O AMIEWALAN MD, SC

Active Organization

ANTHONY O AMIEWALAN MD, SC is a Legal Medicine organization located in DECATUR, Illinois. NPI 1053543215 is currently active in the NPPES registry. Verify at CMS.

Legal Medicine · DECATUR, IL

Registration Details

NPI Number
1053543215
Provider Type
Organization
NPI Issued
Aug 20, 2009 (17.011054275895 yrs)
Last Updated
Mar 27, 2025
License
036112019 (IL)

Practice Information

Address
2965 N MAIN ST STE A
DECATUR, IL, 625264397
Browse IL providers · Browse ZIP 62526
Phone
2174220560
Fax
2174220872
Primary Specialty
Legal Medicine
173000000X
Additional Specialty
Health Service Clinic
Additional Specialty
Legal Medicine

Other Legal Medicine Organizations in DECATUR, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.